AVERA BREAST CENTER
NPI 1467695767
Clinic/Center - Medical Specialty in Sioux Falls, SD
About Avera Breast Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA BREAST CENTER (NPI 1467695767) is a healthcare organization registered as a medical specialty in Sioux Falls, South Dakota and active in the NPI registry since April 2009. The organization maintains a secondary practice location in Sioux Falls and lists David Flicek, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avera Breast Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,275Medicare enrollment records show 1,275 clinicians reassign Medicare billing to Avera Breast Center, which bills Medicare for the services they deliver. Of these, 75 practice at this address and 762 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 59
Nearest to this location (20)
See all 1,275Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Avera Mckennan's NPI number?
The NPI number for Avera Mckennan is 1467695767. It was assigned to this organization in the NPPES registry on April 16, 2009. The provider is doing business as Avera Breast Center.
Where is Avera Mckennan located?
Avera Mckennan is located at 1000 E 23rd St Suite 330, Sioux Falls, SD 57105. The listed phone number is (605) 322-7465.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Avera Mckennan enrolled in Medicare?
Yes. Avera Mckennan is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avera Mckennan?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,275 clinicians in 59 Medicare specialties reassign their Medicare billing to Avera Mckennan. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (268), Certified Registered Nurse Anesthetist (CRNA) (115) and Internal Medicine (108). Of these, 75 practice at this address and 762 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Avera Mckennan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Avera Mckennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Avera Mckennan was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Avera Breast Center · NPI 1467695767
Medical Specialty organization in Sioux Falls, South Dakota. Organization record, active in the CMS NPPES registry since April 16, 2009.
## Identity
- **NPI:** 1467695767 (Entity type: Organization)
- **Enumerated:** April 16, 2009
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Legal business name:** Avera Mckennan
- **Organization subpart:** No
- **Authorized official:** David Flicek, PRESIDENT/CEO
## Practice location
- **Address:** 1000 E 23RD ST, SUITE 330, Sioux Falls, SD 57105-2113
- **Phone:** (605) 322-7465 · **Fax:** (605) 322-1789
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,275 clinicians in 59 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (268), Certified Registered Nurse Anesthetist (CRNA) (115), Internal Medicine (108); 75 practice at this address and 762 within 10 miles; [full list](https://npiprofile.com/npi/1467695767/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2021
- **Other identifiers:** Medicaid 1467695767 (IA); Other 9286132; Medicaid 10025807100 (NE); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1467695767) · Data from the CMS NPPES public registry.